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CTRI Number  CTRI/2026/03/105717 [Registered on: 09/03/2026] Trial Registered Prospectively
Last Modified On: 04/03/2026
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Diagnostic Study 
Study Design  Other 
Public Title of Study   Naadi examination in Thyroid patients 
Scientific Title of Study   Determining the Accuracy of Naadi (Siddha Pulse) Examination in Detecting the cases with Thyroid Pathology Reporting at National Institute of Siddha - A Prospective Blinded Clinical Diagnostic Study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr M Maheswari 
Designation  Postgraduate Scholar 
Affiliation  National Institute of Siddha  
Address  Room no 20/21 Department of Noi Naadal Ayothidoss Pandithar Hospital National Institute of Siddha Tambaram Sanatorium

Chennai
TAMIL NADU
600047
India 
Phone  9025488795  
Fax    
Email  mmaheswari1299@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr M Ramamurthy 
Designation  Professor 
Affiliation  National Institute of Siddha 
Address  Teaching Block 2 Department of Noi Naadal National Institute of Siddha Tambaram Sanatorium

Chennai
TAMIL NADU
600047
India 
Phone  9443178112  
Fax    
Email  ramsnis@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr M Ramamurthy 
Designation  Professor 
Affiliation  National Institute of Siddha 
Address  Teaching Block 2 Department of Noi Naadal National Institute of Siddha Tambaram Sanatorium

Chennai
TAMIL NADU
600047
India 
Phone  9443178112  
Fax    
Email  ramsnis@gmail.com  
 
Source of Monetary or Material Support  
Ayothidoss Pandithar Hospital National Institute of Siddha Tambaram Sanatorium Chennai- 47 
 
Primary Sponsor  
Name  National Institute of Siddha 
Address  National Institute of Siddha Tambaram Sanatorium Chennai- 47  
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr M Maheswari  National Institute of Siddha   OPD and IPD of Ayothidoss Pandithar Hospital Room No, 20/21 Department of Noi Naadal Tambaram Sanatorium
Chennai
TAMIL NADU 
9025488795

mmaheswari1299@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee National Institute of Siddha  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E00-E07||Disorders of thyroid gland,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Presence Of Thyroid Pathology 
 
ExclusionCriteria 
Details  CASES
Known Case Of Cardiac Diseases Or Kidney Diseases Or Arterial Diseases
Vulnerable Group Like Pregnant And Lactating women children geriatric and cognitive impaired patients
CONTROLS
Known case of Malignant Carcinoma or OCP or Parathyroid pathology or Thyroidectomy
Participants who are on medications like Steroids lithium OCP that affect Thyroid functions
Vulnerable group like pregnant and lactating women children geriatric and cognitive impaired patients


 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Specificity and Sensitivity of Naadi examination for the diagnosis of cases with Thyroid pathology will be determined at baseline  At Baseline 
 
Secondary Outcome  
Outcome  TimePoints 
Positive Predictive Value PPV and Negative Predictive Value NPV of Naadi examination for participants with Thyroid pathology will be estimated at baseline
Positive Likelihood Ratio and Negative Likelihood Ratio of Naadi examination for participants with Thyroid pathology will be calculated at baseline
Diagnostic performance of Naadi examination for participants with Thyroid pathology will be assessed using ROC curve analysis and Area Under the Curve AUC at baseline
Yakkai Ilakkanam for participants with Thyroid pathology will be documented through validated questionnaires at baseline 
At Baseline 
 
Target Sample Size   Total Sample Size="140"
Sample Size from India="140" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   26/03/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Naadi Siddha Pulse examination is a traditional Siddha diagnostic method based on pulse assessment 
This study aimed to evaluate its diagnostic accuracy in detecting the participants with Thyroid pathology using thyroid function tests and sonography as the reference standard
 PRIMARY OBJECTIVE 
 To determine the diagnostic accuracy of Naadi Siddha pulse examination in the  detection of participants with Thyroid pathology
SECONDARY OBJECTIVES
To determine the positive predictive value PPV and negative predictive value NPV of the Naadi examination in diagnosing participants with Thyroid pathology
To determine the positive likelihood ratio and negative likelihood ratio of the Naadi examination in diagnosing participants with Thyroid pathology
To determine the diagnostic performance of Naadi examination using receiver operating characteristic curve analysis and area under the curve 
To document the Yakkai Ilakkanam for the participants with Thyroid pathology through validated questionnaires
STUDY TYPE 
Observational Study
STUDY DESIGN A Prospective Blinded Diagnostic Study
Study Setting

Outpatient and Inpatient department

Ayothidoss Pandithar Hospital

 National Institute of Siddha

Chennai 600047

Study Timeline 18 months
Sample size 280
NUMBER OF CASES 140
NUMBER OF CONTROLS 140
PRIMARY OUTCOME  Specificity and Sensitivity of Naadi examination for the diagnosis of cases with Thyroid pathology will be determined
SECONDARY OUTCOME
Positive Predictive Value PPV and Negative Predictive Value NPV of Naadi examination for participants with Thyroid pathology will be estimated
Positive Likelihood Ratio and Negative Likelihood Ratio of Naadi examination for participants with Thyroid pathology will be calculated
Diagnostic performance of Naadi examination for participants with Thyroid pathology will be assessed using ROC curve analysis and Area Under the Curve
Yakkai Ilakkanam for participants with Thyroid pathology will be documented through validated questionnaires 
 
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